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CITY OF ORONO * z 0 1 6 - 0 0 z 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/30/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4220 CHIPPEWA LA <br /> PIN : 31-118-23-42-0012 <br /> LEGAL DESC : CHIPPEWA 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 576,827.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 576,827.00 <br /> TYPE OF PERM[T THIS PAYMENT[S FOR: NEW HOUSE <br /> PERM[T#THIS PRE-PAYMENT IS TIED TO:2016-00289 <br /> APPLICANT ADVANCED PLAN REVIEW 2,622.21 <br /> TOTAL 2,622.21 <br /> DBG,LLC Payment(s) <br /> SCHRODER, SUSAN CREDIT CARD 9577 2,622.21 <br /> 4725 WEST LANE <br /> MINNETRISTA, MN 55364- <br /> OWNER <br /> DBG, LLC <br /> SCHRODER,SUSAN <br /> 4725 WEST LANE <br /> MINNETRISTA,MN 55364- <br /> AGREEMENT AND SWORN STATEME1vT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions ofâ–șaws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />